There's a debacle which EVERYONE in the medical industry has a opinion about.. No it's not politics, music or religion.. it's pharmaceutical sponsorship of "things". These things has ranged from drug company pens to drug company money sponsored flights to the Swiss Alps for a lecture...

This year, I’ve been continually amazed at the kind of crap drug companies hand out.. (The best would have to be a gadget that looks like a pair of plastic pliers which lights up at the tip- apparently used for looking up people's noses)

The above is a pen which glows neon blue. Kinda kewl really. At least, photography wise. If it were a bit longer, it would give a lightsaber a run for it's money.

I like this snap- kinda abstract, in a jeffery smart kind of way... but less creepy..

Oh yeh, and *stress*

ARGH!
Stress!
ARGH!
Stress!
ARGH!
What was the treatment of GORD again? PPIs and lifestyle modifications.. stop smoking, lose weight- yeh, sif patients listen to what you say.. unless you threaten them with the c word- CANCER! Reflux can lead to esophageal cancer which can lead to you DYING, so lose weight. That's pretty harsh.
Man, i can't wait til this year is over.
I'll miss out on seeing my brother play at the local cafe.
I'm old. not really. just old enough to know that i'm getting old. Too old to be sponging off the government anyways. i need a job something productive and something that pays. so i can live without feeling guilty about people feeling sorry for me. ARGH!
No time to work. have to study... what's the formula for fluid replacement for a person with burns? 4mlsXweightX%surface area burnt in 24 hours... if it's a complicated burn.. if it's a simple burn then 3mlsXweightX%surface area.. plus maintenance fluid... 3L a day for an average 70kg person. AVERAGE! the whole concept of average is an approximation.. what about the person??

Didn't say anything about not being crazy....
Aren't you glad you're not me??

Imagine being able to answer "I'm the only one in the world that can answer this question right now."

We had one of the doctors from the uni come up and give us a tutorial on neurology. One of the topics was epilepsy. After having been through the generalised epilepsies and their classification, one of us asked the professor, So why do generalised seizures occur??
A glint came into his eye, the corners of his lips tipped upwards, and, dare i say it, a few less creases in his face disappeared. He answered that he was the only person in the world who can give an answer to this question. As of February, his research group has discovered how and why generalised seizures occur.. and it was "the most exciting moment in his life".

Apparently, it's not the neurons which mysteriously set each other of and cause abnormal brain activity, but astrocytes- the cells which support and regulate the neuronal environment in order for nerve conduction to work properly! It's all to do with astrocyte foot processes swelling because of increased stimulation to the brain, which means that they are inundated with "neuronal mess" (so to speak...) to clear up. Once they have had enough, the astrocytes end up spewing up all sorts of neural transmitter chemicals which set off generalised seizures.

Just the look on his face when he was explaining his discovery was inspiring.
He just loves what he's doing, and where he is in life.
Inner happiness.

I wonder if i'll ever get there?
If what i'm doing is the right thing?
I want to get there, but i don't know how...

Less than 3 months till the world ends.

..only kidding..

Less than 3 months till my end of year exams.

Less than 2 months till my brain goes into overload and i start catastrophising about how i'm going to DIE.

Less than 1 month till i walk around like the world is on my shoulders and internally *stressing*.

Now- I'm procrastinating.

I was driving down the highway at 120km/hr at 5:50pm. It was nearing dusk. I turned around a bend and i saw this brilliant sunset facing me. So i had no choice but to get out of the car, run across the road to the nearby field, and take some pics.
Sometimes the scenery here is breathtaking.

Last week, one of the general surgeons took all of the students out on a houseboat for the weekend. It was a pretty relaxing 2 days- pity it was raining which tinted everything that miserable shade of grey. As we were chugging down the Murray River, we passed an flock of pelicans bobbing in the river. I've never seen so many pelicans before- so i took another picture. But sadly, the photo didn't do that moment justice.

Next week i might go gliding provided that the gliding club are flying and the weather is okay. It should be good! I wonder what it feels like to be in something in the sky with no motor?
Apparently the season to go gliding is during the summer, when there are warm currents which allow the glider to soar for hours. Perhaps if i make it through this time round, i'll come back when it's a bit warmer.

I was at a friend's place, ages ago, and somehow the topic of schizophrenia was brought up.... They were writing a play, and thought that it would be good to have a character with schizophrenia (amongst others) because they could do "Dr Jekyll and Mr Hyde" type gags.
I was kinda indignant about their understanding of schizophrenia.. especially since it is common, often disabling, condition. And despite the movie "A Beautiful Mind", people still think that it is a problem of split personalities.

And today, we had a practice exam where we had to explain to someone about schizophrenia in 5 minutes. Everything that i knew about schizophrenia disappeared, and i stumbled (somewhat painfully) around during that 5 minutes wishing that the knowledge would appear just as it had disappeared. I ended up failing that part of the exam..
So i decided to type what i know about schizophrenia here. Hopefully now it will stick!

Schizophrenia is a psychotic disorder which means that the person affected has disturbances in the way they think, speak and behave.
It is characterised by a number of different features, described as 'positive' or 'negative' symptoms:
Positive symptoms are: Delusions, Hallucinations (usually auditory), disorganised speech and behaviour.
Negative symptoms are: poverty of speech, flat facial expression, social withdrawl, flattened affect.
It is postulated that these symptoms are caused by an overload of dopamine (a neurotransmitter) in the brain.
It typically occurs in early adolescence, and affects males > females.

We dont' know really what causes schitzophrenia, but we do know that certain people are predisposed to it and certain triggers may push them over the edge. Eg, marijuana
Genetics may play a part in the predisposition of schizophrenia.

Treatment is by dopamine blocking agents- these are called anti-psychotics. They inhibit the activation of dopamine receptors. These drugs are fairly potent, but "Typical" antipsychoics have many side effects like Dystonia (muscle rigidity and spasm), Akathesia (motor restlessness) weight gain, Parkinsonian symptoms (Tremor, Rigidity, Akinesia/Bradykinesia, Postural insufficiency), muscarinic Receptor antagonism (dry mouth, dry eyes, urinary retension, constipation). "Atypical" antipsychotics have less side effects.

This is a common psychiatic disorder, with 1% of the population having schizophrenia. There are numerous social groups that are available to help those suffering from schizophrenia. Also, taking regular medication, avoiding stress, and specialist appointments with a psychiatrist and GP are recommended to help keep the schizophrenia under control and to help the person attain a normal life.